CMS Price Transparency Data

Blood test, potassium

Facility: St Francis Hospital - the Heart Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at St Francis Hospital - the Heart Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 100 Port Washington Boulevard, Roslyn, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Insurance Median: $5 (105%)
Ins. Median: $5 (105% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $5 - $6 105%
Affinity Health Plan $5 - $11 105%
Agewell New York $5 105%
Blue Cross Blue Shield $5 - $17 105%
Centerlight Healthcare $5 105%
Centers Plan For Healthy Living $5 105%
Elderplan Inc. $5 105%
Emblem Health $5 - $11 105%
Fidelis Care New York $5 - $11 105%
Health First $5 - $11 105%
Health Plus $5 - $11 105%
Healthspring $5 105%
Humana $5 105%
Independent Health $5 105%
Liberty Health $5 105%
Longevity Health Plan $5 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
Mvp Health Plans $5 - $12 105%
Orthonet - Uniformed Services Family Health Plan $5 105%
Partners Health Plan $5 105%
Pmc $5 105%
Senior Whole Health $5 105%
Surest $5 105%
Tricare $5 105%
UnitedHealthcare $5 - $17 105%
Universal Healthcare $5 105%
Us Family Health Plan $5 105%
Veterans Affairs $5 105%
Wellcare Health Plan Inc $5 105%
Mail Handlers Benefit Plan $6 126%
Meritain Health $6 126%
Nippon Life Insurance Company Of America $6 126%
Salvation Army $6 126%
Zadroga $6 126%
Centivo $7 - $12 147%
American Plan Administrators $11 231%
Amerihealth Administrators $11 231%
Benefit Services $11 231%
Ghi Cbp Ny City Employee Alternate $11 231%
International Benefit Administrator $11 231%
Ultra Benefits Inc. $11 231%
Apwu $12 252%
Brighton $12 - $120 252%
Cigna $12 - $120 252%
Daniel H Cook $12 252%
Nalc $12 252%
Samba $12 252%
Self Pay $17 357%
Local 1199 $28 588%
Oscar Health $70 1471%
Allied Wellfare Fund $120 2521%
American Group Administrators $120 2521%
Bakery & Confectionery Union $120 2521%
Comprehensive Benefits Consultant $120 2521%
Guardian Life Insurance Company Of America $120 2521%
Maloney And Assoc $120 2521%
Multiplan $120 2521%
Performax $120 2521%
Phcs $120 2521%
Pomco $120 2521%
Tpa Inc $120 2521%
Unicare $120 2521%
United Employees Health Plan $120 2521%
Coventry $127 - $142 2668%
Galaxy $154 3235%
Three Rivers Provider Network $154 3235%
Aither Health $171 3592%
Alpha Care $171 3592%
Dentaquest $171 3592%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Port Washington Boulevard, Roslyn, NY 11576
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals